Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY J FREDERICKSEN, LICSW
Active Sole ProprietorMR. GARY J FREDERICKSEN, LICSW is a Clinical Social Worker healthcare provider located in LACEY, Washington. NPI 1700950557 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LACEY, WA
Registration Details
- NPI Number
- 1700950557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.690106568566 yrs)
- Last Updated
- Jul 20, 2007
- Licenses
-
LW00004165 (WA)LW00004165 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4422 6TH AVE SELACEY, WA, 985031020Browse WA providers · Browse ZIP 98503
- Phone
- 3607047170
- Fax
- 3604124982
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. BRENDA L KITTRELL | LMSW, ACSW, MAC | 1033187521 |
| LYNN GROTSKY | LICSW | 1518076504 |
| DR. LORI A SIRS | LICSW | 1811062243 |
| MRS. MICHELLE MARIE CROWELL | LICSW | 1376669671 |
| CARY C REID | — | 1245424100 |
| MR. JASON O'RYAN ARNOLD | LICSW | 1174758700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.